NPIMap

Organization Active NPI

Sullivan Speech and Feeding LLC

  • Speech-Language Pathologist
  • Covington, LA
National Provider Identifier
1841811155
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SULLIVAN SPEECH AND FEEDING LLC
Practice address
19123 McLain Rd
Covington, LA 70435-8026
Phone
(985) 373-3604
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kassi McLain Sullivan, CCC/SLPNPI 1336430537
Title
Owner
Phone
(985) 373-3604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

19123 McLain Rd
Covington, LA 70435-8026

Mailing address

19123 McLain Rd
Covington, LA 70435-8026
Phone (985) 373-3604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1841811155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19123 MCLAIN RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704358026",
            "telephone_number": "985-373-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19123 MCLAIN RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704358026",
            "telephone_number": "985-373-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN SPEECH AND FEEDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KASSI",
        "authorized_official_middle_name": "MCLAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-373-3604",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.